New framework offered by McMorris Rodgers recommends NIH reforms

U.S. Rep. Cathy McMorris Rodgers (R-WA) on June 14 released a framework that contains recommendations for reforming the National Institutes of Health (NIH).

Over the past several years, there have been “countless missteps” throughout the COVID-19 pandemic, along with numerous investigations that have turned up everything from systematic sexual harassment to serious lapses in oversight related to risky research, according to a one-page summary on the framework released by Rep. McMorris Rodgers, who chairs the U.S. House Energy and Commerce Committee.

“These matters were made worse by a culture resistant to transparency and accountability to Congress and the public,” the summary says. “It has been nearly two decades since Congress critically evaluated the NIH and advanced structural legislative reforms. Congress has a responsibility to the American people to ensure that the NIH is held accountable and that its mission serves all of our interests.”

Recommendations in the framework include that a congressionally mandated commission be established to lead a comprehensive review of the NIH’s performance, mission, objectives, and programs, and that NIH funding mechanisms be clear, responsible, and reflective of congressional intent.

Additionally, the framework recommends that NIH grant research be protected against national security risks and threats, and be independent, innovative, responsive, and transparent, such as by continuing to prohibit risky gain-of-function research, including in countries that have been designated as foreign adversaries.

“Let us be clear: We support the NIH and the critical role it plays in serving Americans, furthering scientific discovery, and ensuring the U.S. remains the world’s leading pioneer in basic science and biomedical research innovation,” wrote Rep. McMorris Rodgers and U.S. Rep. Robert Aderholt (R-AL) in a June 14 opinion piece published in STAT. “But historical support for what an agency should or could be cannot prevent us from seeking to build upon past lessons or correct areas that have fallen short.”

Rep. McMorris Rodgers and her colleague wrote that a deliberative, engaging process will lead to better outcomes for all Americans and that the framework is just the start of a much-needed conversation and not a finished product.

“The U.S. became a world leader in biomedical innovation because Americans are resourceful, resilient, and entrepreneurial,” the members wrote. “Let us continue to build on that legacy and work to ensure the NIH continues to deliver on the promises of hope for those in need.”

Stakeholders may submit feedback on the framework or provide additional comments, ideas, and suggestions for reform by emailing [email protected] by Aug. 16.